KENNETH G MUTHEE NPI 1194442558

NPI Information

  • NPI: 1194442558
  • Provider Name: KENNETH G MUTHEE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1340 SMITH AVE STE 200
    BALTIMORE, MD
    ZIP 21209
  • Phone: (443) 500-9251

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NPI Details

Kenneth G Muthee is a psychiatric/mental health nurse practitioner in Baltimore, MD with 2 years of experience. Kenneth G Muthee NPI is 1194442558. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1340 SMITH AVE STE 200
BALTIMORE, MD
ZIP 21209-796
Phone: (443) 500-9251
Fax: (410) 779-1314

The NPI 1194442558 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2022 and was last updated on 11/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SP0812XClinical Nurse SpecialistPsychiatric/Mental Health, CommunityR221983MARYLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthR221983MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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